Methods to measure, map and correlate ocular micro-movement and ocular micro-tremor signals with cognitive processing capabilities

ABSTRACT

An apparatus and method of collecting elements of and assembling various portions of ocular micro motions such as ocular micro-tremor (OMT) movements of the eye, and correlating them directly with OMT waveforms acquired from both known and unknown states of cognition and cognitive function. Comparing newly acquired waveforms from patients with undiagnosed cognitive dysfunctions, permits an individual or caregiver the ability to identify those unknown issues or cognitive states based on matching or relating statistically elements of their waveform with categories of other known cognitive processing normals and abnormals, functional and dysfunctional individuals. It also allows for measuring the effects of therapeutic agents (psychological or pharmacological) by relating them to measurable changes in cognitive function as a result of correlated changes in waveforms.

PRIORITY CLAIM

This application is a continuation application of U.S. Utility patentapplication Ser. No. 12/362,046 “METHODS AND TECHNIQUES TO MEASURE, MAPAND CORRELATE OCULAR MICRO-MOVEMENT AND OCULAR MICRO-TREMOR (OMT)SIGNALSWITH COGNITIVE PROCESSING CAPABILITIES” inventor: Martin L. Lonky, filedJan. 29, 2009, which application claims priority to U.S. ProvisionalPatent Application Ser. No. 61/025,434, filed Feb. 1, 2008 Theseapplications are herein expressly incorporated by reference in theirentireties.

BACKGROUND

The present invention is related to system and method for correlatingoptical micro-tremor signals with cognitive dysfunctions, and moreparticularly to a signal acquisition subsystem for obtaining at leastone ocular micro-tremor signal, a signal processing subsystem forcreating an ocular micro-tremor waveform and a correlation subsystem forcomparing the ocular micro-tremor waveform to either a set of waveformsfrom populations of “normal” or fully functional cognitive individuals,or those of various classes of cognitively dysfunctional populations.

Advances in imaging technologies, along with a focus on the importanceof cerebral processing in medicine and computer development during thelast two decades, have provided the framework for many new approaches inboth the theory and experimental data pertaining to the mind/braininteraction. During this period, newly formed departments of consciousawareness and cognitive science have appeared at university centersworldwide. Together with institutional research and developmentprojects, scientists and philosophers from many disciplines have joinedthis quest: How indeed does the human mind perceive reality, form thoughand reason, and experience qualitative emotion through the elements ofcognition? Much of the research has centered about developing anunderstanding of consciousness, and the role of awareness within thatprocess.

The systems' architecture that would be required to meet these criteriacould include brain matter proximal to the terminus of the neuralswitches, capable of storage of data through a quantifiable physicalmechanism, and conductive within its own right. The latter requirementwould be necessary to produce ongoing communication between neuralsegments, as the synaptic junctions would now only be switchingnetworks. As will be pointed out below, this material could easily bepostulated to be the brain's own support matter, the local glial cells.More importantly for the moment, the flow-down requirements on timingimposed by the second criteria on the mind/brain architecture requiresexpansion. The need for periods of off-time within the cycle ofproducing thought, recalling or storing memories, primarily related tosorting or finding facts probably fits comfortably within our own realmsof experience. This type of general architecture could be constructed bypostulating the existence of a master “process clock,” against which allperceived cognitive events could be referenced. This may not benecessarily surprising, since other organs require timing periods fortheir operation such as the various muscle functions of the heart andperistalsis within the intestine.

The brain's intrinsic timing would have to allow for data input,retrieval, encoding (establishing a mechanism to allow it to bere-interpreted) and then de-coding. During these physical processes(some of which could conceivably be done in parallel withintopologically non-coincident sites in the physical brain), a bifurcatedperiodicity must also exist where the brain is conscious-and-aware vs.conscious-but-unaware of underlying processes or choices. These twostates are not dissimilar to the terms of consciousness or subconscious.The labeling is forcibly highlighted as always conscious, but aware partof the time, and unaware the rest of the time, to emphasize both theperiodicity and exclusive need to have both states allowed with acontinuous stream of data storage and recall. The unaware state is adefinite requisite to accommodate the de-selection process discussedpreviously. Without it, one could be conceivably lost to the dementia oflistening and/or seeing all the alternatives we have to pick from.Because of the fundamental requirement of having no dynamic memorymanager, the conditions of containing awareness and unawareness cannotrun simultaneously without the aforementioned cerebral process timing.Otherwise, it would take a cognizant function to know when to switchbetween states, and therefore, an a priori cognition of what consciouschoice was to be made—a Herculean feat even for quantum mechanics.

A model proposed herein includes rapid blending of both states at thegamma band frequencies, typically centering about 40 Hz wherein thecontents of consciousness are fused in much the same manner as thevisual flicker fusion, audio fusion and tactile stimulus fusionexperiments described earlier. To simplify terms, the process will bereferred to as cerebral fusion. The contents of the cerebral cortex, aseither experienced from the body's external sensors, or as perceivedfrom memory and replayed through virtual sensor sites in the brain,integrate completely to form an ongoing vignette of scenes, thoughts andemotions. The systems description must further postulate that in noevent can the mind sense the discreteness of the events. Completecontinuity of consciousness at these cerebral process clock rates wouldprevent individuals from ever comprehending the detail between thewindows of awareness. On the other hand, this same mechanistic processwould allow for the appearance of simultaneousness between sounds andimages occurring between temporally adjacent windows, even though weknow that some audio stimuli arrive sooner to the cerebral cortex thando visual signals. Essentially, with the process of cerebral fusion,events can occur discretely, but near enough in time, and are capturedduring either an aware or unaware cycle (within about 20 to 50 msec). Itis proposed that the mind will not discriminate between the separatenessof the events, insofar as in this fusion process, the evolution ofadjacent windows provides the illusion of continuity of thought. Thisconcept is not dissimilar from the often-discussed binding problem.

Cerebral fusion may have three fundamental properties that allow forboth blended information processing, and the observed sensorystimulation to perception delays. These properties are globalization,integration and persistence. Globalization refers to the ability of thecerebral workspace to respond to those areas across the cortexcontaining features of current thoughts. Since the fragments ofpictures, words, associated smells, memories and sounds are notnecessarily topologically co-located, the active centers contributing toan aware moment must be accessible to a centrex of processing (perhaps,the thalamus), much like a planetarium with a series of highlightedelements. This is conceptually not very different from a globalworkspace, with its attendant spotlight on the most current neurallocations corresponding to the contents of a thought. At this juncture,no statement is made as to the interpretation of the discrete data itemsinto recognizable images or sounds; what is implied within theglobalization process is that all excited neurons are globallyaccessible and as such, are momentarily “highlighted.” Integrationrefers to the process of assembling the quanta of thought elementsdescribed in the globalization process. As already discussed, togetherwith the process of cerebral fusion, integration is a temporally drivencapability of the brain wherein it is not possible for us to distinguishthe non-simultaneity of successive events within one window ofconsciousness. The integration process guarantees that some fixed amountof time will be necessary post sensation before we are either partiallydepending on the elements currently undergoing globalization, or totallyaware of what is occurring in the mind (or within the spotlight of theglobal workspace). At this juncture, integration assures that therecognition of already known or selected items can be made, but does notpreclude the non-recognition effects of new items as well. Additionally,integration during unaware cycles allows for the de-selection ofunwanted materials or intermediate results, as described earlier.

The establishment of a persistence component to cerebral fusion refersto a capability of individual neuronal sites to retain, with some finitelifetime, the contents of their stimuli that are undergoing integrationduring any one window. The observed nature of how human thought iscontinuous would require that sites be active for at least adjacenttemporal windows (no less than 50 msec), but would not limit it to thatminimum. In essence, this capability of the brain would enable thesmoothing of memory and thought transitions from vignette to vignette.Persistence does not preclude sensory stimuli from appearing differentto us if the actual input occurred simultaneously vs. separate in time(but within at least 50 msec). On the contrary, there are differences intone and pitch of sound bites that are temporally separated by more than15 msec. However, persistence will prevent the perception that eachshort stimulus (within 50 msec) appears discrete from its temporalneighbor. Persistence, as a feature of memory, would occur as a naturalconsequence of both ongoing sensory stimulus and the quenching orrecovery times of neural nodes post stimulus. Whether or not neuralnodes are electro-chemically induced or otherwise, there is an expecteddecay time post stimulus that is associated with the process and thiswould be consistent with the observed general properties of neuralnetworks as well. Studies done with patients awakened from dream sleepstages show that these patients remember their dreams with varyingclarity, indicating that neuronal persistence is indeed at work. Instudies of various memory systems (direct recollection, short termrecall, etc.) measured event related potentials have indicated windowsto total awareness of times ranging from 350 msec to 1900 msec.Information perceived while unaware can remain in conscious memory forseveral hours.

The same concepts ring true in the areas of motor activation, when wewalk without awareness of a stepping cadence, or drive a car withoutfull awareness of the street details passing by. Some neuroscientistslabel this peripheral focus or absolute focus as part of a variablecalled “attention,” but we would need to distinguish carefully betweenwhat is in our purview to “attend to” and what is not. The portion ofconsciousness that is forever in the unaware cycle cannot be the focusof conscious attention, because it will not yield to any level ofconcentration. Attention, as such, is a tool we use within the awarecycle to bring focus to one or one set of facts or events preferentiallyover another. By excluding others, or relegating them to subordinateroles, we are setting up the pieces that count in the complex thoughtsthat humans exhibit. Part of this facet of continuous consciousnesscontains what psychologists refer to as the subconscious. That term canbe misleading though, because there is a suggestion that you canremember something or address something directly that is “just below thesurface of awareness.” This would only be true if one were to havecontact with those intimate details and the mechanics of unaware thoughtapparently not obtainable, since those mechanisms of the unawareprocesses are not subject to direct recall. As conscious awareness isbut a fraction of the rapidly repeating and interleaved conscious cyclesalternating between aware and unaware, and details of these unawaredynamics are not available within awareness, then the concept of aclassical “subconscious” might have little meaning within thisdescription. During the two phases of consciousness, aware and unaware(which is the sum total of all our conscious experience), we becomeconscious of everything around us that our sensory capabilities may havebeen stimulated with. We are only cognizant during the aware cycle, andthus have limited verbal reporting ability concerning the whole scene oreverything we have sensed. It would then appear as if our brain “filledin missing details,” but that would not be the case. Rather, we always“knew” what was in the scene, but were not “aware” of all of it in thepart of the process we verbally report on, which is conscious awareness.Indeed, if we filled all the data in with our brain as a “construct,”the resulting image in our mind would not necessarily comport as closelywith actual photographs of the scene or the physical data; it would onlybe very rough approximations of them. Since we are indeed conscious ofall the experiential content within this bimodal cycle, consciousnesswill appear continuous, despite only reporting on part of it duringawareness.

Attention itself is an intended sensory focus on some portion of thedata/emotion content of the current aware cycle. For an individual to“attend” to one specific fact, happening or emotion, or a set of thesame occurring over many aware cycles to the exclusion of the rest ofthe scene would, in essence, be the equivalent of placing a blockade, orfilter over the totality of the content being recalled during theunaware cycle, and only passing through the germane features matchingthose “attended” items. The analogy that best fits this picture is whenwe place a color filter in front of a camera used to take a photo indaylight, we selectively enhance the specific color items within thescene, and remove or diminish others. Attention, as a process, ispotentially cued in as a sensory response that rapidly overwhelms theever present “silent thought” data stream, and can subsequently beenriched by the ongoing cycles of the unaware mode. It is as if thisbimodal system of consciousness must focus on something, and providefeedback during our waking moments. Attention deficit may actually be amisnomer, in that attention cues may not be missing or inadequate, butrather too plentiful, with not one of them dominate over the other.

The eyes are typically thought to be under voluntary control, with theresponsible cortical areas located within the frontal cortex. However,eye motions occur in two fashions—smooth and slow controlled eyetracking in response to a moving object within the visual field, and insudden jumps, known as saccades. The saccades themselves are bimodal,that is, there is a set of motions that have very short latencies (lessthan 100 msecs) known as express saccades, and a set of standard, suddenjumps (3 to 5 per second) that occur with high acceleration anddeceleration rates that are for all practical purposes ballistic, eventhough deceleration is accomplished by simply stopping the input to theagonist (acceleration) muscles. The latter saccade movement (standardmotion) is completed in 30 to 120 msecs, and then stays steady in“fixation.” Fixations can last from 200 to 500 msecs. The expresssaccades, however, miss the visual target more often than the regularsaccades, and have unpredictable gap durations. Whereas visual feedbackcannot guide saccades, they appear to be guided by internal feedback ofrepresentations of a scene and a (newly picked eye position. Most of thefeedback originates in the superior colliculus. In short, the saccadesappear as autonomic motions, with feedback from the mind to correctlyre-align them to various targets. They are a collection of motions withtrajectories and corrections resembling distributed data systems.

Oculomotor movements and saccades can be essentially both “windows” toconscious timing events, and hallmarks of the aware and unaware statetransitions. To demonstrate this potential mathematically, one only needexamine the literature for measured event times. These motor movementsof the eyes can respond in a tonal fashion to lower frequency signals,and in a “twitching” fashion to high frequencies of up to 150 Hz. As aresult of these capabilities, the eyes themselves display severaldifferent types of motions, categorically falling into two classes:major saccades and minor saccades.

Major saccades in humans are slow, visually observable motions of theeyes (generally commensurate with head movements) that are larger than1.2 degrees, and driven by the 5 Hz or less tonal muscle motion. On theother hand, minor saccades can be subdivided into smaller motions, suchas mini-saccades or flicks, and micro-saccades or tremors. These lattermotions are not visible to the unaided eye, need special instrumentationto be observed, and are governed by the twitch muscles. The largersaccades typically occur over a 3 to 20 sec period, and are generallyinfrequent. The minor saccades are more regular, low amplitude movementsthat have been associated with object or group scanning The most rapidand regular minor saccadic motion are the tremors, which are typicallycentered at about 90 Hz, but have been measured in ranges between 30 Hzand 100 Hz. Their duration lasts 10 to 20 msecs. The mini-saccades occurat a rate of 3 to 5 per second for a typical duration of 25 to 30 msecs.Both these types of motion will occur during “voluntary” fixation, thatis, despite our controlling where our focus (or attention) is centered.Even though the tremors are smaller amplitude changes in eye position,they are enough of a displacement that they should, theoretically, blurvision, but they don't. The mini-saccades have larger amplitudes, occurat theta frequency rates, and have been theorized to be largercorrective displacements to overcome the drifts produced by tremors.Insofar as mini-saccades occur during fixations, and have beencorrelated to visual attention, their transitions may represent shiftsof attention or refocus. Their amplitude and frequency should alsocontribute to a distortion of experienced visual images, but again, theydo not in conscious awareness. The saccades themselves also respond tofeedback, that is, there are adjustments made movement by movement tonew items presented within the field of view. However, the actual timeof movement, taken from the appearance of a new item (target), issmaller than the overall fixation period.

Certain motions of the eye would then offer an opportunity to presentdiagnostic information about the processing of consciousness content, orbetter yet, the dysfunctional outcomes due to impaired timing frombrainstem regions as reflected in those eye motions. Current studiesshow that eye micro-tremors can be an indication of the general state ofconsciousness, including the depth of anesthesia, as the number oftremors become fewer as the individual approaches unconsciousness. Alongwith the frequency of eye tremors, the latency of saccadic motion, rangeof motion, and fixation stability are among other changes that can proveto be diagnostic. Saccadic anomalies have been used as part ofdiagnostic testing of patients with Multiple Sclerosis and ParkinsonsDisease. Likewise, other neurological disturbances such as Huntington'sDisease and Attention Deficit Hyperactive Disorder (ADHD) have hadongoing research showing correlation of established diagnosis withchanges in saccadic eye motion. If, as the new theory developed by theinventor herein suggests, the micro-eye movements are reflections of theautonomic timing for the natural interleaving of the conscious aware andunaware states, then changes in that timing and signature componentscould potentially be demonstrated as altered or impaired neurologicalfunctions. Incomplete aware timing could possibly disturb neurologicalsigns of awareness and attention, and incomplete unaware timing couldaffect motor neuron transmissions, among other processes.

It is known that disorders such as Parkinsons Disease, Huntington'sDisease and Tourette's syndrome share a common region of the brain thatis associated with some of the motor difficulties, especially in thebasal ganglia. Since the origination of the signals causing involuntaryeye motion, and the aware/unaware windows of consciousness are tiedthrough or within similar areas, it can be argued that the directobservation of eye movement abnormalities due to these disorders and thecorresponding motor symptom appearances are related. However, since theorigination points are within the basal ganglia structures and theautonomic systems, these influences are not occurring throughconsciousness pathways, just through the timing areas of the brainresponsible for the bimodal portions of consciousness, aware andunaware. Typically, the basal ganglia can be responsible for trueweakness, as noted in some Disease states. However, such disorders candisplay a full range of abnormality, not limited to just “weakness” ofmotor responses. These include affects of the ease and speed of motion.Additionally, both Parkinsons Disease and Multiple Sclerosis patientsconcomitantly display cognitive changes. Therefore, the observations forthese two physical disorders appear to be more complex than just thecurrently recognized neuro-physical impairments noted in the literature,and could infer correlations beyond the coincidence of similar brainstructure involvement. Surely the psychological issues withinschizophrenia are more “cognition” issues than motor issues as are thoseof ADHD. Measurements made on schizophrenic patients have showndemonstrable changes in saccadic reactions concomitant with impairedinformation processing. Studies on patients diagnosed with ADHD haveshown impairment of fixation and saccadic movements as compared withnormal patients. Likewise, administering Ritalin (methylphenidate)appears to strengthen saccadic control and weakens strong fixations.Even though the saccadic and tremor eye movements are windows to theautonomic conscious timing events, and not a basic “driver” of thesystem, this new theory infers that the eye motions are also demarcationmovements of the changes of “attention” within consciousness. Insofar asthe tremors can be observed as part of the overall eye motion,theoretically, these movements could be studied as to their changes (ifany) produced while forcing shifts in attention, or the reverse. Thisrepresents a relatively new area for research: to examine ifconsciousness mechanisms can be used to alter consciousness dynamics.

Since eye motion, attention and ultimately feedback are the majorcontrol items within the cyclical consciousness expounded in this model,they are also important to the modification of consciousness. Eventhough cyclical timing is autonomic, the data elaborated in this papershow that the cycle itself can be disrupted: it occurs in biofeedback,Eye Movement Desensitization and Reprocessing (EMDR), trance and othertherapies. The recognition that eye motion represents a physical portalto timing is novel, and can allow for extended research in changesproduced by drugs as well as changes accompanying various cognitiveaberrations. It is interesting to note that those having ordinary skillin the art have aptly labeled the conscious process as one that containsthe feeling of the body's emotional states, and in reality, we indeedfeel all that occurs within us, because we are continuously experiencingit while it is integrated with other sensory stimuli. However, we onlyreport on and talk about what makes it into our “awareness.” All of itwill ultimately shape how we think, even those portions resident only inour unaware and unattended consciousness because of the regular cyclingof the aware and unaware states.

Accordingly there is a need for, and what was heretofore unavailable, asystem and method for correlating ocular micro-movement and ocularmicro-tremor signals with cognitive dysfunctions. The present inventionsolves these and other needs.

SUMMARY OF THE INVENTION

The present invention is directed to a system and method for correlatingocular micro-motion and micro-tremor signals with cognitivedysfunctions. The system includes recording a tremor signal, and asignal processing subsystem for creating a waveform from at least oneacquired ocular micro-tremor signal. The ocular micro-tremor waveformfrom an unknown or psychologically diagnosed individual is compared toboth a waveform algorithm or emulation from a set of normal cognitives,or those derived from cognitive dysfunctional groups to determine theactual true cognitive dysfunction of that patient. The signalacquisition subsystem may be configured using any physical sensorcapable of measuring these small motions, such as an optical sensor, apiezoelectric sensor, strain gauges or accelerometer sensors, a CW(continuous wave) light wave emitter, a pulsed light wave emitter, asonic wave emitter, or an airflow system, to name a few. The patient'sor individual's cognitive waveform may then be compared to that of anADHD waveform, an Attention Deficit Disorder (ADD) waveform, anotherunknown patient's waveform, an autistic waveform, or any cognitivedysfunctional waveform desired, or those of a set of cognitive normalgroups. The invention is intended to be an apparatus to physicallydisplay and diagnose cognitive processing normal populations andcognitive processing of abnormal populations, and perform diagnosticcomparisons between those sets and that generated by an unknown patient.It is also envisioned that the same apparatus can compare the signalsderived from patients both before, during and after therapeutictreatments are administered to evaluate the effects of those therapies.

The present invention is derived from a logical systems flow-down of aset of consciousness requirements, which together with biologicalquantification of human brain anatomy sets limits on the neurologicalnetwork in the cerebrum in order to produce the mind. It employs data(where available) to validate inferences, or when data do not exist,proposes methods for acquiring valid evidence. Many of these systemsrequirements will be imposed after some fundamental assumptions aremade. These assumptions are not new to theories on consciousness.However, their application as fundamentals may actually represent a newapproach. Concurrent with these fundamentals, explicit periods ofawareness while conscious are employed. Justification for their use isfound in a theoretical process described as cerebral fusion.Additionally, storage of memory elements is postulated within local gliasites, proximal to synaptic nodes, and conductive transport through theastrocytes responsible for recall of data. The model permits variationsin neural-glial interface physics and allows forecasts of mind-braindysfunctions to be inferred. One key result from the model ishypothesized and expanded upon, and may have impact in certain types ofdementia, such as Alzheimer's Diseases, see Lonky, M. (2003) Humanconsciousness: A systems approach to the mind-brain interaction, TheJournal of Mind and Behavior, 24, 91-118; the content of which is herebyincorporated herein by reference.

The continuity of consciousness is a reality, provided by the blendingof the combination of both conscious aware states with conscious, butunaware ones, and where the frequencies governing the interleaving ofthe two states prevent us from ever directly deciphering the nature oftheir discrete properties. As a consequence, we cannot experience anydiscontinuity within the global phases of consciousness itself. Theimpact of this continuous cycling has major implications towards thepurpose and mechanics of the aware cycle within the conscious process,as well as the role of attention. A model is presented wherein thesecycles are mirrored in ocular motion, and both are related to autonomicmechanisms. Concepts are presented that argue for the aware statefunction to be largely centered on the management of attention, whileproviding feedback to the unaware cycle. The empirical concept developedis then tested against both current experimental data and severallongstanding consciousness processing conundrums, with favorableresults, see Lonky, M. (2006) Human consciousness: A revised view ofawareness and attention, The Journal of Mind and Behavior, 27, 17-42;the content of which is hereby incorporated herein by reference.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic representation of an ocular micro-tremor signalcollection subsystem of the present invention.

FIG. 2A is a schematic representation of a signature assemblingsubsystem of the present invention.

FIG. 2B is a schematic representation of an ocular micro-tremorsignature definition subsystem of the present invention.

FIG. 2B is a schematic representation of an ocular micro-tremorsignature definition subsystem of the present invention.

FIG. 3 is a schematic representation of a diagnostic assessmentsubsystem of the present invention.

FIG. 4 depicts one embodiment of a sensor system of the presentinvention.

FIG. 5 is a partial plan view of a pair of safety glasses with a sensorfor measuring ocular micro-tremors.

FIG. 6 depicts a graph illustrating the amplitude peaks over time forpatient Rick.

FIG. 7 depicts a graph illustrating the time history of the strain forpatient Rick.

FIG. 8 depicts a graph illustrating the amplitude peaks over time forpatient George.

FIG. 9 depicts a graph illustrating the time history of the strain forpatient George.

FIG. 10 depicts a graph illustrating the amplitude peaks over time forpatient Andrew.

FIG. 11 depicts a graph illustrating strain over time for patientAndrew.

FIG. 12 depicts a graph illustrating the amplitude peaks over time forpatients George, Rick and Andrew.

FIG. 13 depicts a graph illustrating strain over time for patients Rick,George and Andrew.

FIG. 14 depicts a graph illustrating amplitude over time for patientBritney.

FIG. 15 is an exploded view of an apparatus for monitoring eye tremorconsistent with the present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

Ocular micro-tremor, or OMT, has been classically described as a verysmall motion of the eye, which is constant, typically at an averagefrequency of about 80 Hz, and varying in amplitude from 150 nm to 2500nm. It occurs in all humans, and has been related to the activityproduced within the brainstem region (lower reptilian brain which sitson the top of the spinal column). It was first reported on by Adler etal. in 1934 (Adler, F. H. M., Fleigelman, Maurice, A B, (1934),“Influence of Fixation on the Visual Acuity,” Archives of Ophthalmology,12: 475-483.) Since it only ceases at death, the measurement of thetremor has been a useful tool in evaluating people under anesthesia, andin a coma (see for Example, references 1-3). Additionally, having itsorigin within the brainstem, abnormalities in ocular micro-tremorpatterns have been noted in several neuromuscular disorders such asParkinsons Disease and Multiple Sclerosis (see, e.g., Bolger, C., etal., “Ocular micro-tremor (OMT): a new neurophysiological approach toMultiple Sclerosis,” Journal of Neurological Neurosurgery Psychiatry,68(5): 639-42, 2000; and Bolger, C., et al., “Ocular micro-tremor inpatients with idiopathic Parkinsons Disease,” Journal of NeurologicalNeurosurgery Psychiatry, 66:528-31, 1999). Additionally, some work hasbeen done to show that an average frequency change is concomitant withage (see, e.g., Bolger, C., et al., “Effect of Age on OcularMicro-tremor Activity,” Journal of Gerontology, Series A, 56:M386-M390,2001).

This represents the total area of published work concerning OMT. Whilethere are a number of other papers exploring the ability to repeat thisdata on other groups of similar patients, the subject matter covered inthose studies has always remained “the study of OMT frequencies andtheir relationship to brainstem activity in the semi-conscious patientand in the neuro-physically impaired patient.”

A number of different apparatus methods have been employed in collectingthis data, including using piezo-electric strain gauges directly incontact with an anesthetized eye, accelerometers on closed eyelids, andconcepts involving laser interferometry as a non-eye-contacting device.All the reported apparatus developed by the several authors who havecontributed to the literature have essentially provided the same type ofwaveforms for OMT, and demonstrate consistent data regarding correlationto brain stem activity in assessing patients receiving anesthesia or incomas.

Martin Lonky, in 2003 (Journal of Mind and Behavior, 24:1, pp. 91-117)published a theoretical concept concerning a physical mechanism thatcould explain experimental data published on several aspects of humanconsciousness and cognition. The models developed employed a two phaseconscious state comprised of contiguous aware and unaware periods. Asecond paper published in 2006 (Journal of Mind and Behavior, 27:1, pp.17-42) showed that this model could actually account for severalmeasured consciousness processing conundrums, such as binocular rivalryand Shapiro's EMDR work (eye motion and desensitization reprocessing).

The present invention is new and unique and is based on making a newconnection between the bimodal format of the consciousness periodsdefined in the aforementioned papers, and the origin of the signal thatcould control that timing. The signal most probably originates as partof the autonomic nervous system in a region proximal to the superiorcolliculus of the brain, close to the region responsible for theneurologically driven OMT motion of the eyes. It is this concept, alongwith the scientific hypothesis that the OMT motion can provide a windowto the cognitive processing of a human being, that forms the basis ofthe invention.

The present invention demonstrates experimentally that OMT changes areresponsive to changes and degradations in cognitive processing. Thesephenomena are regulated and performed in regions in the mid-brain andabove, including the cerebral cortex.

The traces of the OMT from the eyes have been attributed to a correlateto the dual consciousness states (aware and unaware) that, it ispostulated, is part of human cognition. Normal functioning humans(people with no measured cognitive defects or dysfunctions) ought to fitinto a series of waveforms that have similar attributes (centralfrequencies, frequency content, amplitudes, waveform shapes, rise times,fall times, etc.) and be describable (cognitive capabilities) in termsof those and other features. In fact, since there should be noexpectation that any two people (within a normal cognitive range) shouldhave “exactly the same features” within the way they process andtransact information, normal functioning human subjects should fall intoa “band” of allowable characteristics with their specific signaturepattern.

Likewise, cognitively challenged or cognitively dysfunctional subjectsshould fall into a “bands” of descriptive OMT signature components. Forexample all subjects correctly diagnosed with ADD or ADHD should fallinto a group of similar descriptive schizophrenia, etc. Again, no twopatients with the “same” diagnosis will be exactly the same, but ratherexhibit a class of similarities between themselves that is differentfrom those of a cognitively normal population. In some sense, theseparametric characteristics of a patient's physical OMT signature patternis a form of differential diagnosis of cognitive capabilities (orcognitive disabilities, as the case may be). Again the technique can beapplied (as a “before” and “after” screen) to evaluate the benefits orshortfalls of therapies used to treat these dysfunctions. For example,an ADHD patient taking Ritalin (methylphenidate) may show improvementsin their signature parametric values, perhaps approaching those ofnormal cognitive processing individuals. Likewise, the value ofbehavioral or cognitive therapy or biofeedback may also be evaluated interms of changing a patient's OMT signature pattern toward a morebeneficial class of parameters. These are “new” methodologies forprocessing, categorizing and comparing components of OMT signatures andwave forms for correlation, diagnosing, and evaluating therapies forcognitive disorders and dysfunctions.

When viewed this new way, even the older published work on ParkinsonsDisease and Multiple Sclerosis may now be more related to the cognitivedisorders concomitant with those neuro-muscular Diseases than theneuro-muscular dysfunction itself. This new technological method forevaluating the OMT motion signals of the eyes probably explains whythere are a band of values observed within the reported (literature)studies on these Diseases, rather than a single value associated witheach disorder. It is because the OMT motion itself is truly tied to thecognitive losses and decay of that particular patient, not the fact thatthe subject has (for example) Parkinsons Disease, i.e., each patientwould be expected to have a different level of cognitive dysfunction (orconversely, remaining cognitive capability).

I. Signal Acquisition

As shown in FIG. 1, the system and method of the present inventionprovides for selecting a methodology for acquiring (as an example)ocular micro-tremor (OMT) measurements from an individual patient. Thesystem may be configured to use either the existing forms ofpiezoelectric sensor apparatus units currently available, or newerformats using CW or pulsed light wave, sonic wave emitters, orsteady-state or intermittent air flow apparatus, stain gauge sensors,miniature accelerometers, etc., all with low-noise, calibrated sensorsto discriminate low amplitude (approx. 200 micron to 5,000 micronmotions) and low frequency (approximately 90 Hz) OMT ocular motions(see, for example, FIG. 4). Suitable systems may be found in U.S. Pat.No. 7,011,410, and U.S. Publication No. 2006/0082727 both of which areincorporated by reference herein. These may also include methodologiesthat could be derived from more sensitive versions of eye trackinghardware and modules that presently are used to measure ocularmicro-saccades, drift and flicker. The system may be configured torecord two to twenty second waveform sequences from the patient, severaltimes during the acquisition.

II. Define Waveform “Signature”

Referring now to FIG. 2A, OMT waveforms contain several repeatableelements or sequences, including sinusoidal components, burstcomponents, spindles, and spacing or voids. The signature measured is ananalytical description of the continuous waveform's compositeinformation. The present invention incorporates an algorithmic systemcapability to measure and define leading edge rise time slopes, as wellas trailing edge fall times and slopes of repetitive sinusoidalcomponents of the OMT waveform. Midpoint and half-widths of repetitivesinusoidal components of the OMT waveforms may be measured and definedas well. Further, the system may be configured to measure and collateseparations between peak intervals, measure frequency of burst packagesand waveform frequency of bursts and sinusoidal components.

The system and method of the present invention may be further configuredto note and annotate spindles that may accompany waveforms, andincorporate their presence in the signature description. The average andmean frequency of the waveform composite, including the various elementsthat comprise the OMT signature, are characterized and measured, i.e.,the sinusoidal packet and the burst elements. In addition, the systemmay be configured to note and measure the time intervals between anyvoids between OMT packets, and configure the waveform signature withthis spacing, if any. The system may also be configured to note the meanamplitudes and the extrema of both the sinusoidal portions and thecollective bursts.

The system is further configured to categorize the signature bothgraphically and parametrically and to perform transforms on signatureparametric characteristics, including, but not limited to FourierTransforms. The system would either add a new signature to the sets of“known cognitive classes databases,” or use it as a comparative againstother known sets, to define the most likely classification of cognitiveprocessing that the new signatures represent or belong within. In theevent the signature is compared to itself from an earlier stage, orpre-therapy or medication, the system notes the changes brought about bythe intervention (if any) by movement towards a “normal” or otherwisebeneficial cognitive improvement.

III. Signature Characteristics to Define Families of CognitiveProcessing Varients

As shown in FIG. 2B, the system and method of the present inventioncaptures and defines the characteristic signature and properties ofvarious states of cognitive dysfunctions, as well as those belonging toa set of “cognitive normals,” in both a documented and algorithmiclibrary for analytical comparisons. These states include, but are notlimited to, ADD, ADHD, Autism, Bipolar thinking, Obsessive CompulsiveDisorder (OCD) thinking, Schizophrenia, and Alzheimers Disease.

IV. Use of These Libraries of Signatures and Captured OMT Measurementsto Corroborate Psychological Diagnoses or Generate Physical Diagnoses ofCognitive Processing Classifications

As shown in FIG. 3, the system and method of the present inventioncollates signature parameters within populations of “cognitive normals,”“cognitive ADD,” “cognitive ADHD,” “cognitive Autistic,” etc. Withineach cognitive set, the system assembles the parametric elements of thesignature into a weighted priority deterministic equation, to be usedfor matching unknown patients, or patients undergoing therapy orremedial treatment. The system of the present invention furtherestablishes a “statistical” compare function across all the weightedsets for any new “unknown patient condition” or new patients in general.In addition, the system may be configured to update patterns regularlywith new standardized data sets from established clinical trials.

FLOWCHART FOR: Methods and Techniques to Measure, Map and CorrelateOcular micro-tremor (OMT) Signals with Cognitive ProcessingCapabilities.

I. Signal Acquisition

a. Select methodology for acquiring OMT measurements from individualpatient.

b. Use either the existing forms of piezoelectric sensor apparatus units(FIG. 4) already in literature (patented, i.e., EYETECH), or newerformats using CW or pulsed light wave or sonic wave emitters, withlow-noise, calibrated sensors (FIG. 4) to discriminate low amplitude(approx. 200 micron to 5,000 micron motions) and low frequency(approximately 80-90 Hz) OMT ocular motions.

c. Record 2 to 20 sec waveform sequences from the patient, several timesduring the acquisition.

II. Define Waveform “Signature”

a. OMT waveforms contain several repeatable elements or sequences,including sinusoidal components, burst components, spindles, and spacingor voids. The signature measured is an analytical description of thecontinuous composite waveform.

b. Measure and define leading edge rise time slopes, as well as trailingedge fall times and slopes of repetitive sinusoidal components of theOMT waveform.

c. Measure and define midpoint and half-widths of repetitive sinusoidalcomponents of the OMT waveforms.

d. Measure and collate separations between peak intervals.

e. Measure frequency of burst packages and waveform frequency of burstsand sinusoidal components.

f. Note and annotate spindles that may accompany waveforms, andincorporate their presence in the signature description.

g. Characterize and measure the average and mean frequency of thewaveform composite, including the various elements that comprise the OMTsignature, i.e., the sinusoidal packet and the burst elements.

h. Note and measure the time intervals between any voids between OMTpackets, and configure the waveform signature with this spacing, if any.

i. Note the mean amplitudes and the extremas of both the sinusoidalportions and the collective bursts.

j. Categorize the signature both graphically and parametrically.

k. Perform transforms on signature parametric characteristics,including, but not limited to Fourier Transforms.

l. Either add signature to the set of “known cognitive classes database”or use as a comparative against known sets for defining the most likelyclassification of cognitive processing capabilities in which the newsignature belongs.

m. In the event the signature is compared to itself or from an earlierstage, or pre-therapy or medication, note the changes brought about bythe intervention (if any) by movement towards a “normal” or otherwisebeneficial cognitive improvement.

III. Use of Signature Characteristics to Define Families of CognitiveProcessing Variants

a. Capture and define the characteristic signature and properties ofvarious states of cognitive dysfunctions, as well as those of cognitivenormals in both a documented and algorithmic library for analyticalcomparisons.

b. These states include, but are not limited to, ADD, ADHD, Autism,Bipolar thinking, OCD thinking, Schizophrenia, and Alzheimers Disease.

IV. Use of These Libraries of Signatures and Captured OMT Measurementsto Corroborate Psychological Diagnoses or Generate Physical Diagnoses ofCognitive Processing Classifications

a. Collate signature parameters within populations of “cognitivenormals,” “cognitive ADD,” “cognitive ADHD,” “cognitive Autistic,” etc.

b. Within each cognitive set, assemble the parametric elements of thesignature into a weighted priority deterministic equation, to be usedfor matching unknown patients, or patients undergoing therapy orremedial treatment.

c. Establish a “statistical” compare function across all the weightedsets for any new “unknown patient condition” or new patients in general.

d. Update patterns regularly with new standardized data sets fromestablished clinical trials.

Experimental Data

Experiments were conducted on individuals for the purpose of collectingocular micro-tremor (OMT) data, analyzing the data, and demonstratingthe correlation between OMT data and cognitive function (both normal andabnormal). As shown in FIG. 5, an OMT measurement apparatus in the formof safety glasses 20 includes a sensitive strain gauge sensor 22attached to the glasses. The glasses were worn by subjects (Rick, Georgeand Andrew) with closed eyelids for 10-15 seconds, and OMT data wasformed by amplifying the signals received from the sensor, filtering the60 Hz background noise, and displaying the signatures on a data loggertrace. As shown in FIGS. 6-13, the analysis done was to display the dataas a Fast Fourier transform (to display the content of signalinformation over a frequency domain), and a time based display, to showthe more classical OMT signal, comprised of bursts and baseline areas.These curves show that individual data vary (all three men have norecorded case of cognitive impairments), but Rick is 56 years old andGeorge is 67 years old, and both are clearly demarked from Andrew, whois 25 years old. As discussed earlier, Rick and George fall into a bandof characteristics associated with advancing age. The data shown amongthe three subjects is consistent with observed slow down in cognitiveprocessing with age. The dissimilarity is obvious within the FastFourier Transform display in frequency spectral content, as well as thetime display curves. The present invention allows for variouscomparative and signal sampling methodologies to be used to contrast andcompare individual OMT traces in all these domains to enhance thecharacteristics of groups. In that way, reference libraries of OMT datacan be created that can be used by diagnostic laboratories to classifypatients into cognitive categories, from normal to dysfunctional, withcharacteristics of various impediments (ADD, autistic, schizophrenic,etc.) as separate databases.

As shown in FIG. 14, a patient named Britney was studied in a mannersimilar to that described for the patients in FIGS. 6-13. In thisexperiment, Britney wore the glasses (FIG. 5) on two occasions. Prior totesting, Britney had previously been diagnosed with moderate to severeADHD by clinical psychologists. She takes prescription Adderal (extendedtime range Ritalin) to treat the symptoms and improve cognitiveprocessing. Data was collected for Britney before taking her medicationand about two hours after taking her medication. Referring to FIG. 14,Britney 1 is a chart of data collected before Britney took themedication and Britney 2 is a chart of data collected about two hoursafter Britney took her medication. The time scale (x-axis) is inincrements of 0.01 sec. and has a duration of 0.1 sec. The amplitude(y-axis) is measured in micro volts. As can be seen from the data, theamplitude of the OMT (“eye wobble”) is significantly smallerpost-medication (Britney 2) versus pre-medication (Britney 1). Since eyemotion is generally disruptive, the difference in the amount of motiondetected from Britney 1 versus Britney 2 very likely correlates withusable levels of awareness. The OMT signature post-medication isapproximately 180° out of phase with the pre-medication signature, andit has shorter peak-to-peak periods. The data implies faster processingtimes after taking the medication, which may benefit those having ADHD,and appears more comparative to the normal patterns seen in priorsubject traces. Further, increasing the dose of medication might showfurther benefits from the data. It is contemplated that a patient'smedication could be fine tuned as the patient was being monitored inreal time. For example, with respect to Britney, she could be monitored(using the system of FIG. 5) in real time as her medication wasadministered and varied. Over time, her medication could be optimizedbased on comparisons with the OMT data of normal patients collected andstored in a library. As the OMT data from Britney begins to fall withina range of normal OMT data residing in the library, then the medicationlevel for Britney will have been optimized.

While particular forms of the present invention have been illustratedand described, various modifications can be made without departing fromthe spirit and scope of the invention. Accordingly, it is not intendedthat the invention be limited, except as by the appended claims.

An embodiment of an OMT system consistent with the present invention isshown in FIG. 15. The OMT system comprised of a surface mount amplifier1001, piezoelectric transducer (PZT) 1002, which in this embodiment iscomprised of barium titanate ceramic, thin beam, and is constructed andmounted to be sensitive to bending through its thickness, printedcircuit board (PCB) 1003, polymer housing 1005, and silicone rubber“brim” 1004. The printed circuit board has a slot designed to receivethe thin PZT beam 1002 directly, which can provide an alternative todelicate interconnecting leads from the bender to the PC board.

Accelerometers are another type of sensor suitable for tremormonitoring. In an embodiment consistent with the present invention, afirst accelerometer is mounted on a subject's eyelid and a secondaccelerometer is mounted on the subject's forehead. The difference inthe signal received by the first and second accelerometer is the eyetremor signal of interest. Using two accelerometers tends to assist inreducing the effect of local seismic events (such as minute vibrationsin the room) that could distort an eye tremor signal reading. Inaddition, many types of tremor sensors may be combined with anaccelerometer when additional artifacts are being measured (such ascardio-ballistic signals when assessing brain stem death). Thedifference between the measurements at the sensors can be used toindicate OMT.

In the OMT monitoring device shown in FIG. 15, PZT beam 1002 hasmetallized electrodes on opposite sides of the beam, which facilitatequick, low cost interconnection to PCB 1003. In an embodiment consistentwith the present invention, to prevent direct electrical contact ofthese electrodes to the surface of the eyelid, PZT beam 1002 isinsulated with a thin layer of polyimide. The PCB, PZT, and signaltransmitter are insulated by potting and/or coating the PCB assemblywithin the housing vacuum pumped medical grade silicone rubber.

In an embodiment consistent with the present invention, the tape used tosecure the device to the subject's forehead could also includeelectrodes that could be used to provide EEG monitoring in addition toits eye tremor monitoring capability. Examples of EEG-based monitoringinclude conventional EEG monitoring, processed EEG indexes, and auditoryevoked responses found within the EEG signal. Such an embodimentprovides additional methods for monitoring the subject's brain functionso that information can be combined for analysis, or if one system isnot functioning properly, another method serves as a check. As analternative to embedding EEG electrodes in the tape, the electrodes canbe embedded in the components supporting the hinge that sits on thesubject's forehead. Moreover, one skilled in the art will recognize thatthere are may possible ways of combining OMT monitoring apparatus withother apparatus for consciousness monitoring in addition to EEG such asauditory evoked potential analysis tools.

Signal-processing techniques are used to interpret the data produced byan OMT system consistent with the present invention. One such signalprocessing technique consistent with an embodiment of the presentinvention involves acquiring the OMT signal, rejecting OMT data that mayinclude an artifact (such as a microsaccade), analyzing signal frequencyand amplitude, and displaying the result.

The microprocessor contains software capable of performing digitalfiltering, and amplitude discrimination of the incoming OMT signal. Thissoftware can recognize input waveforms from the OMT sensor that arerelatively large in amplitude, and reject these according to aprogrammed set of criteria. For example, the software is programmed tofilter signals having an amplitude above a preset threshold (e.g., 4.0volts peak-to-peak). Thus, signals falling above this threshold are notanalyzed for OMT content, and a warning message—“HIGH OMT SIGNAL”—ispresented on the display.

Large amplitude signals from an eye-mounted sensor can reflect eyeactivity such as gross eye movements or microsaccades, and theseactivities tend to mask the desired, true OMT signals. An embodiment ofa signal processor consistent with the present invention also has anadaptive filter. This filter is self adjusting and can filter outunwanted signals received by the OMT sensor. An embodiment of thepresent invention includes a signal processor that changes filterparameters based on signals collected from a subject. For example, thesignal processor can sample the OMT signal, compute the averagemagnitude of the signal, and adjust a threshold to reject signals thatare a multiple of the average (e.g., reject signals that have amagnitude that are three times the average).

The microprocessor may also contain software capable of tracking thecorrelation between OMT frequency and amplitude such that if either onechanges while the other holds steady, or changes at a significantlyslower or faster rate the system provides an auditory warning anddisplays a visual message for the operator. For example, if, while apatient is anesthetized, the amplitude increases while the frequencyholds steady, the system could audibly beep and display the message“Lightening”.

An embodiment of an OMT processor consistent with the present inventionis comprised of a processor that executes stored computer program codedesigned to implement signal processing operations. One skilled in theart will recognize that an embodiment of the signal processorimplemented entirely in software, entirely in hardware, or in anembodiment allocating signal processing functions among hardware andsoftware elements, either distributed or centralized, is consistent withthe scope of the present invention.

A discriminator parses the data to select an appropriate signal windowfor spectral analysis (for example, using an FFT and/or peak countalgorithm), which is used to measure the highest peak OMT frequency,which is typically in the range of 70-100 Hz for a normal, awakeindividual. This peak frequency along with the signal window'speak-to-peak amplitude is then sent via a pulse code modulated serial(RS-232) or other digital serial peripheral interface (SPI) output todisplay driver circuitry, and in turn, to a display of the measured OMTfrequency and amplitude. If desired, the corresponding sampled,filtered, and discriminated OMT signal waveform can also be displayed inreal-time.

An embodiment of an OMT system consistent with the present invention cantransmit the OMT signal waveform to, for example a bedside monitor,printer, intensive care unit monitoring equipment, and any other type ofmonitoring unit, display unit, or information system either directlyattached or, e.g., remotely accessible via a wireless data link. In anembodiment consistent with the present invention, the OMT systemgenerates a signal that can be used to control the medication dosage forthe patient being monitored, e.g., the system generates a signal forcontrolling an infusion pump.

1. A method for diagnosing Attention Deficit Hyperactivity Disorder(ADHD) in a patient comprising: (a) receiving a patient ocular autonomicwaveform signature, wherein the patient ocular autonomic waveformsignature has been generated using steps including one or both measuringthe patient ocular autonomic micro-tremor signals and creating an ocularautonomic waveform signature from the measured patient ocular autonomicmicro-tremor signals; (b) accessing an ADHD reference library of ocularautonomic waveform signatures, wherein the ADHD reference library hasbeen generated using steps including one or both measuring ocularautonomic micro tremor signals from a plurality of previously diagnosedADHD patients and creating ocular autonomic waveform signatures from themeasured ocular autonomic micro-tremor signals of the plurality ofpreviously diagnosed ADHD patients; (c) accessing an algorithm todetermine an ADHD match between one parameter selected from the groupconsisting of the patient ocular autonomic micro tremor signals and thepatient ocular autonomic waveform signature and at least one parameterselected from the group consisting of ocular autonomic micro-tremorsignals of the plurality of previously diagnosed ADHD patients in theADHD reference library and the ocular autonomic waveform signatures ofthe plurality of previously diagnosed ADHD patients in the ADHDreference library; and (d) diagnosing ADHD in the patient based on theADHD match; wherein one or both accessing an algorithm and diagnosingADHD in the patient are carried out by a processor.
 2. The method fordiagnosing ADHD in the patient of claim 1, further comprising: (e)diagnosing a patient as normal based on accessing a normal referencelibrary, wherein the normal reference library has been generated usingsteps including one or both measuring ocular autonomic micro tremorsignals from a plurality of previously diagnosed cognitively normalpatients and creating ocular autonomic waveform signatures from themeasured ocular autonomic micro-tremor signals of the plurality ofcognitively normal patients; (f) accessing an algorithm to determine anormal match between one parameter selected from the group consisting ofthe patient ocular autonomic micro tremor signals and the patient ocularautonomic waveform signature and at least one parameter selected fromthe group consisting of the measured ocular autonomic micro-tremorsignals of the plurality of previously diagnosed normal patients in thenormal reference library and the ocular autonomic waveform signatures ofthe plurality of previously diagnosed normal patients in the normalreference library; and (g) diagnosing the patient as cognitively normalbased on the normal match.
 3. The method for diagnosing ADHD in thepatient of claim 2, further comprising: (h) based on the absence of thenormal match diagnosing the patient as cognitively dysfunctional.
 4. Themethod for diagnosing ADHD in the patient of claim 1, wherein the signalacquisition subsystem is chosen from the group consisting of an opticalsensor, a piezoelectric sensor, a strain gauge sensor, an accelerometersensor, a continuous wave emitter sensor, a pulsed light wave emittersensor, and a sonic wave emitter/sensor, for discerning and measuringthe micro motions and micro-tremors of the eye.
 5. The method fordiagnosing ADHD in the patient of claim 1, wherein in step (c) an ADHDmatch is found if one parameter selected from the group consisting ofthe patient ocular autonomic micro-tremor signals and the patient ocularautonomic waveform signature matches at least one parameters selectedfrom the group consisting of the ocular autonomic micro-tremor signalsof the plurality of previously diagnosed ADHD patients in the ADHDreference library, the ocular autonomic waveform signatures of theplurality of previously diagnosed ADHD patients in the ADHD referencelibrary, an ocular autonomic micro-tremor signal of previously diagnosedADD patients and an ocular autonomic waveform signature of previouslydiagnosed ADD patients in an ADD reference library.
 6. The method fordiagnosing ADHD in the patient of claim 1, wherein measuring the ocularautonomic waveform signature includes one or both measuring and definingone or more of the parameters selected from the group consisting ofleading edge rise time slopes and trailing edge fall times slopes ofrepetitive sinusoidal components of the optical micro-tremor signalwaveforms.
 7. The method for diagnosing ADHD in the patient of claim 6,wherein one or more Fourier transforms are performed on the ocularautonomic waveform signatures.
 8. The method for diagnosing ADHD in thepatient of claim 1, wherein measuring the ocular autonomic waveformsignature includes one or both measuring and defining one or more of theparameters selected from the group consisting of midpoint andhalf-widths of repetitive sinusoidal components of the optical tremorsignal waveforms, separations between peak intervals, frequency of burstpackages and waveform frequency of bursts and sinusoidal components,spindle associated with the waveforms, average and mean frequency of thewaveform, time intervals between voids between the optical tremor signalpackets and analyzing the mean amplitudes and extremes of the sinusoidalpatterns and the collective bursts.
 9. The method for diagnosing ADHD inthe patient of claim 8, wherein one or more Fourier transforms areperformed on the ocular autonomic waveform signatures.
 10. The methodfor diagnosing ADHD in the patient of claim 1, wherein the ocularautonomic micro-tremor signals have an average frequency between: alower limit of approximately 30 Hz; and an upper limit of approximately100 Hz.
 11. The method for diagnosing ADHD in the patient of claim 1,wherein the ocular autonomic micro-tremor signals have an averageamplitude between: a lower limit of approximately 150 nm; and an upperlimit of approximately 2500 nm.
 12. A system for diagnosing AttentionDeficit Hyperactivity Disorder (ADHD) in a patient, comprising: a signalacquisition subsystem including a sensor for obtaining an ocularautonomic micro-tremor signal; a signal processing subsystem forprocessing the measured ocular autonomic micro-tremor signal; asubsystem for accessing an ADHD reference library, wherein the ADHDreference library is generated by obtaining a processed ocular autonomicmicro-tremor signal from a plurality of previously diagnosed ADHDpatients; and a correlation subsystem for correlating the patientprocessed ocular autonomic micro-tremor signal with the processed ocularautonomic micro-tremor signals of the plurality of previously diagnosedADHD patients in the ADHD reference library, whereby a correlationbetween the patient processed ocular autonomic micro-tremor signal andthe ADHD reference library provides a diagnosis of ADHD.
 13. The systemfor diagnosing ADHD in the patient of claim 12, further comprising: acorrelation subsystem for correlating the patient processed ocularautonomic micro-tremor signal with the processed ocular autonomicmicro-tremor signals of a plurality of previously diagnosed normalpatients in a normal reference library, whereby a correlation betweenthe patient processed ocular autonomic micro-tremor signal and thenormal reference library provides a diagnosis of the patient ascognitively normal.
 14. The system for diagnosing ADHD in the patient ofclaim 12, further comprising: a correlation subsystem for correlatingthe patient processed ocular autonomic micro-tremor signal with theprocessed ocular autonomic micro-tremor signals of a plurality ofpreviously diagnosed normal patients in a normal reference library,whereby absence of a correlation between the patient processed ocularautonomic micro-tremor signal and the normal reference library providesa diagnosis of the patient as cognitively dysfunctional.
 15. The systemfor diagnosing ADHD in the patient of claim 12, wherein the signalacquisition subsystem is chosen from the group consisting of an opticalsensor, a piezoelectric sensor, a strain gauge sensor, an accelerometersensor, a continuous wave emitter sensor, a pulsed light wave emittersensor, and a sonic wave emitter/sensor, for discerning and measuringthe micro motions and micro-tremors of the eye.
 16. The system fordiagnosing ADHD in the patient of claim 12, wherein in the correlationsubsystem the patient processed ocular autonomic micro-tremor signals iscompared to one or more parameters selected from the group consisting ofthe ocular autonomic micro-tremor signals of the plurality of previouslydiagnosed ADHD patients in the ADHD reference library, the ocularautonomic waveform signatures of the plurality of previously diagnosedADHD patients in the ADHD reference library, an ocular autonomicmicro-tremor signal of previously diagnosed ADD patients and an ocularautonomic waveform signature of previously diagnosed ADD patients in anADD reference library.
 17. The system for diagnosing ADHD in the patientof claim 12, wherein generating the processed ocular autonomicmicro-tremor signal includes one or both measuring and defining one ormore of the parameters selected from the group consisting of leadingedge rise time slopes and trailing edge fall times slopes of repetitivesinusoidal components of the optical micro-tremor signal waveforms. 18.The system for diagnosing ADHD in the patient of claim 12, whereinmeasuring the processed ocular autonomic micro-tremor signal includesone or both measuring and defining one or more of the parametersselected from the group consisting of midpoint and half-widths ofrepetitive sinusoidal components of the optical tremor signal waveforms,separations between peak intervals, frequency of burst packages andwaveform frequency of bursts and sinusoidal components, spindleassociated with the waveforms, average and mean frequency of thewaveform, time intervals between voids between the optical tremor signalpackets and analyzing the mean amplitudes and extremes of the sinusoidalpatterns and the collective bursts.
 19. The method for diagnosing ADHDin the patient of claim 12, wherein the ocular autonomic micro-tremorsignals have an average frequency between: a lower limit ofapproximately 30 Hz; and an upper limit of approximately 100 Hz.
 20. Themethod for diagnosing ADHD in the patient of claim 12, wherein theocular autonomic micro-tremor signals have an average amplitude between:a lower limit of approximately 150 nm; and an upper limit ofapproximately 2500 nm.